Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )


Course: First Choice B.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Riyashanth
Mother's Name: Dhanalakshmi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Sep 2000 Nationality: Indian
Place of Birth: Rasipuram Personal Identification Mark: Left leg unt
Blood Group: B +  
Date of Birth (DD/MM/YY): 10 Sep 2000 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
Address for Communication: No 3 3 rd main road eri karai street Srinivasapuram ,korattur Chennai
State: Tamil Nadu Country: India
Pin: 600080 City/District: Chennai
Mobile no: 9952070721 Telephone No. with STD code: 9840100357
Aadhar Card No:3508 4763 7949 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Dhanalakshmi Relationship with candidate: Mother
Parents Date of Birth: 26 Nov 1985 Parent's/Guardian's Occupation/Designation: Self employed
Office Address:
Address: Near sip abacus No 5/790 kavimani salai Mogappair ,chennai
Country: India State: Tamil Nadu
City/District: Thiruvallur Pin: 600037
Tel: Mobile no.: 9840100357
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Tamil Nadu Board: Tamil Nadu
School: Anandha vidhayalaya matric ur sec school School: Anadha vidyalaya matriculation school
City: Chennai City: Salem
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: Anandha vidhayalaya matric higher secondary school
  Centre code:
  Pin: 637408
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics, Chemistry & Mathematics combined Percentage:
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Sports and referring books
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes good options for me
Why do you wish to join TMI?: About placemeny
What are your hobbies?: Sports
What are your strengths?: Good quality
What are your weaknesses?: Nothing
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

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